Smartphone applications for intervening on addictive behaviors: efficacy is just one phase of the marathon.
Smartphone applications for intervening on addictive behaviors: efficacy is just one phase of the marathon.
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DOI：
10.1111/add.15608
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
McAfee T
中科院分区：
文献类型：
--
作者：
Bricker JB;McAfee T
Khadjesari等人(1)为越来越多的关于智能手机应用程序成瘾行为的讨论提供及时的贡献。虽然有成千上万的这些应用程序，很少被证明是有效的（2）。医疗保健提供系统尚未将其作为合法治疗方法（3）。消费者的受欢迎程度与他们对医学支持的临床实践指南的遵守程度无关（4，5）。Khadjesari等人(1)在最近的一项随机疗效试验中，iCanQuit（一款基于接受和承诺疗法（ACT）的智能手机戒烟应用程序）与QuitGuide（一款由美国国家癌症研究所开发的应用程序）进行了比较。在12个月的随访中，在2，415名吸烟者中，iCanQuit的有效性是QuitGuide的1.5倍。即使是像这样罕见的疗效结果，也只是马拉松马拉松的第一阶段，最终可能会导致广泛采用。
Khadjesari et al.(1) provide a timely contribution to the growing discussion of smartphone apps for addictive behaviours. While there are thousands of these apps, very few are proven efficacious (2). Healthcare delivery systems have not adopted them as legitimate treatments (3). Consumer popularity ratings have no correlation with their level of adherence to empirically-supported clinical practice guidelines (4, 5). Khadjesari et al.(1) explore a number of approaches that could help address these challenges, including regulatory approval and accreditation in curated online app libraries.In a recent randomized efficacy trial iCanQuit, a smartphone application for smoking cessation based on Acceptance and Commitment Therapy (ACT), was compared to QuitGuide, an application developed by the US National Cancer Institute. At 12-month follow-up, iCanQuit was 1.5 times more efficacious than QuitGuide among 2,415 smokers (6). Even rare efficacy results like these are only the first phase of the marathon that could eventually lead to broad adoption.
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